Senior Claim Specialist- Medical Malpractice- Long Term Care

Gallagher•Houston, TX

8d•$160,000•Remote

About The Position

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas (Medical Malpractice). Generally, incumbent does not work on workers compensation claims. Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations. Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. Creates reservation of rights and coverage denial letters. Negotiates settlements with clients, client attorneys, and Public Adjusters. Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary. Prepares reserve and settlement authority requests for client and carrier approval. May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage. Has a solid understanding of claims processing and the insurance brokerage business. Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry. Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements. Incumbents at this level should be able to work at full case load capacity.

Requirements

High school diploma and 5 years related claims experience required.
Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues.
Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
Knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.
Claims Background: Medical Malpratice
Jurisdictional Experience: Open to any
Active Adjusters' licenses: must be willing to obtain all licenses stated by manager within specified timeframe

Nice To Haves

Bachelor's Degree preferred.
Two or more years of prior experience adjusting claims in applicable specialty area preferred.
Law Degree (JD) Highly preferred.
Litigation Experience
Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.
Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

Responsibilities

Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas (Medical Malpractice).
Able to manage the full-life cycle of all assigned claims files.
Analyzes coverage and determines defense obligations.
Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
Creates reservation of rights and coverage denial letters.
Negotiates settlements with clients, client attorneys, and Public Adjusters.
Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.
Prepares reserve and settlement authority requests for client and carrier approval.
May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
Has a solid understanding of claims processing and the insurance brokerage business.
Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry.
Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements.